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10th UNICA PhD MASTER CLASS Application Form

Fill in and submit the application form below. After submitting your form, you will receive an email acknowledging receipt of your submission. Your form will be automatically recorded in the UNICA registrations system. If you encounter any problems with the submission or have any questions, do not hesitate to contact Aurelie Duchateau from the UNICA Office (aurelie.duchateau@unica-network.eu, +32 2 514 79 00)

IMPORTANT DATES
All applications should be submitted by ** 15 May 2019** -> extended deadline: 20 June
Confirmations of acceptance will be sent by ** 27 May 2019** -> end of June

INFORMATION ON THE APPLICANT

Title *

Prof.

Dr

Ms

Mr.

Family name *

First name *

Institution/University *

Position *

E-mail *

Address

Phone *

Membership *

I represent a UNICA member university (Check at: http://www.unica-network.eu/page/members-and-contacts)

I am a member of PRIDE Network: Association for Professionals in Doctoral Education (http://www.pride-network.eu/)

I am not a member of any of these two networks

Other...

Membership Other...

BIOGRAPHY

Short biography: Please provide us with your short biography, placing a special emphasis on your role in doctoral education and the topic of this MASTER CLASS - maximum 180 words *

Short biography: Please provide us with your short biography, placing a special emphasis on your role in doctoral education and the topic of this course - maximum 180 words